KIDNEY CARE CENTER MERRILLVILLE LLC
NPI 1417336207
Internal Medicine - Nephrology in Merrillville, IN

Active since May 26, 2015CLIA 15D2102351 · Waiver
757 E 81ST AVE, MERRILLVILLE, IN 46410(219) 472-0379(219) 472-0491 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 28, 2025, Nov 11, 2024, Sep 15, 2022 and 1 more (4 updates tracked since 2018).

About Kidney Care Center Merrillville Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY CARE CENTER MERRILLVILLE LLC (NPI 1417336207) is a healthcare organization registered as a nephrology in Merrillville, Indiana and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Morufu Alausa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417336207
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CARE CENTER MERRILLVILLE LLC
Location Address757 E 81ST AVEMerrillville, IN 46410-5538
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 741-6832
Fax(219) 472-0491
Organization SubpartNo
Authorized OfficialMorufu AlausaCeo · (815) 741-6830
Enumeration DateMay 26, 2015
Last NPPES UpdateMarch 28, 20254 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1417336207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

757 E 81ST AVE, Merrillville, IN 46410

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2102351

Kidney Care Ctr Merrillville LLC · Merrillville, IN
Active · expires Sep 21, 2027
CLIA Number15D2102351
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorTunji M. Alausa
Laboratory Phone(219) 472-0382
Laboratory LocationKidney Care Ctr Merrillville LLC757 E 81st Ave, Merrillville, IN 46410
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
757 E 81ST AVE
MERRILLVILLE, IN 46410
Internal Medicine (Nephrology)
757 E 81ST AVE
MERRILLVILLE, IN 46410
Internal Medicine (Nephrology)
757 E 81ST AVE
MERRILLVILLE, IN 46410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417336207, enumerated as an "organization" on May 26, 2015.

The provider is located at 757 E 81ST AVE MERRILLVILLE, IN 46410 and the phone number is (219) 472-0379.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.